Location: METROHEALTH MEDICAL CENTER
Biweekly Hours: 80.00
Shift: 8:00 am to 4:30 pm Mon - Fri
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Summary:
Performs concurrent and retrospective chart reviews to ensure appropriateness and accuracy of ICD-10-CM/PCS coding, DRG (Diagnosis Related Group) assignment, and CDI (Clinical Documentation Integrity) compliance. Provides feedback and education to Health Information Management (HIM) CDI and Coding staff and medical providers as needed. Identifies and promotes the quality of the clinical documentation through ongoing education, feedback, and communication with the HIM CDI and Coding staff and MHS medical providers. Assists with reviewing and appealing DRG and clinical validity payer denials. Works collaboratively with other disciplines to ensure that all appropriate diagnoses and severity of illness are captured. Upholds adherence to the policies and procedures governing coding and reimbursement in compliance with federal and state laws and regulatory guidelines. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Qualifications:
The MetroHealth System
CLEVELAND, OH